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This document serves as a guide for staff conducting domestic violence screening for applicants and recipients of Temporary Assistance under the Family Violence Option, detailing the screening process,
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How to fill out ldss-4813
How to fill out LDSS-4813
01
Obtain the LDSS-4813 form from your local social services office or online.
02
Fill in your personal information, including your name, address, and contact details.
03
Provide details about your household members, including their names, ages, and relationship to you.
04
Indicate your source of income by specifying your job details or any other benefits you receive.
05
Include your expenses, such as rent, utilities, and childcare costs, to give a complete picture of your financial situation.
06
Review the filled form for accuracy and completeness.
07
Sign and date the form to certify that the information provided is true.
08
Submit the completed form to your local social services office.
Who needs LDSS-4813?
01
Individuals and families applying for public assistance programs, including food stamps and Medicaid.
02
People seeking financial support or benefits from social services agencies.
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What is LDSS-4813?
LDSS-4813 is a form used in New York State for reporting child support and other required financial information.
Who is required to file LDSS-4813?
Individuals who are applying for or receiving public assistance benefits and are involved in a child support case are required to file LDSS-4813.
How to fill out LDSS-4813?
To fill out LDSS-4813, provide accurate financial information, including income, expenses, and information regarding any child support orders.
What is the purpose of LDSS-4813?
The purpose of LDSS-4813 is to gather necessary financial data to assist in determining eligibility for assistance programs and ensuring compliance with child support obligations.
What information must be reported on LDSS-4813?
LDSS-4813 requires reporting of income, expenses, child support obligations, and any other relevant financial information necessary for determining assistance eligibility.
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